Nocardia abscessus – Unusual Source of Nasal Inflammation


Authors: J. Krtičková 1;  L. Ryšková 2;  P. Králíčková 5;  J. Scharfen jr. 2,3;  J. Dědková 4;  P. Vítková 2,3
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku LF UK a FN Hradec Králové 1;  Ústav klinické mikrobiologie LF UK a FN Hradec Králové 2;  Oddělení mikrobiologie, Národní referenční laboratoř pro patogenní aktinomycety, Nemocnice Trutnov 3;  Radiologická klinika LF UK a FN Hradec Králové 4;  Ústav klinické imunologie a alergologie FN Hradec Králové 5
Published in: Otorinolaryng. a Foniat. /Prague/, 62, 2013, No. 3, pp. 126-131.
Category: Case History

Overview

We report a case of unusual microbiological findings. Injury of the nose in the garden was followed by inflammation of the soft tissues. Gram smear showed bacteria of Nocardia sp., subsequent phenotype and genotype analyses identified Nocardia abscessus. CT examination did not reveal any damage to the hard tissues. The patient was treated with combination of antibiotics and surgical debridement. The authors point out the necessity of microbiological phenotypic and genotypic identification of Nocardia species for the purpose of targeted therapy.

Keywords:
Nocardia abscessus, cutaneous nocardiosis, phenotypic method, genotypic method


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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